Patient Forms

Patient Forms

New Patients

As a new patient of Arlington Orthopedic Associates, you will be asked to complete the following forms and bring to your initial appointment. If you prefer, you may fill in the needed information, print the form and fax to: 817-299-1735.

If needed, see below for a free download of Acrobat Reader.

Please be sure to print each page before you move on to the next one. Your information is not saved in these forms and when you move on to the next page the information will be discarded for privacy reasons.

Authorization forms:

Acrobat ReaderDownload Acrobat Reader

 

Medical Record Release

All Medical Records Request are done through our patient portal. (Click Here)
*Not only can you request your medical records but our portal is also a convenient way for you to request appointments, send secure messages to your provider and update your profile and contact information.

 

Please review Physician Insurance Information for coverage insight. Also, please check on a regular basis for updates.